没有下降的丸:来自单一机构的流行病学研究
Marcela Almeida Bazaga1, Márcia Emília Francisco Shida1, Mila Torii Corrêa Leite1
1Universidade Federal de São Paulo, Escola Paulista de Medicina - São Paulo (SP), Brazil.
概括
没有下降丸 (UDT) 的患者经历了延迟的诊断和治疗,超过了推的时间表. 提高社区意识和更早的医疗转诊对于及时的UDT管理至关重要.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 发展生物学 发展生物学
背景情况:
- 不下降的丸 (cryptorchidism) 是儿科手术中常见的一种先天性异常.
- 延迟治疗可能导致并发症,包括不孕症和恶性瘤.
- 干预的最佳时机对于成功的结果至关重要.
研究的目的:
- 评估未下降丸的儿科患者的转诊和治疗时间表.
- 识别诊断和治疗途径中的延迟.
- 将当前的做法与国际准则进行比较.
主要方法:
- 350名未下降丸患者 (1992-2021) 的回顾性图表审查.
- 数据包括人口统计数据,推年龄,皮术时的年龄和随访时间.
- 对患者变量和治疗时间表的描述性分析.
主要成果:
- 平均转诊年龄为47.3个月;72.5%的患者在18个月后被转诊.
- 大多数兰花术手术 (未下降的丸手术) 发生在60个月后.
- 观察到诊断和治疗的显著延迟,失去了跟进的高率.
结论:
- 目前未下降丸的诊断和治疗年龄超过了推的指导方针.
- 需要加强医疗和社区推实践.
- 及时干预对于最佳的患者结果至关重要.
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